Kai Chen Ph.D. in
Chinese Medicine
TCM Dr. in British Columbia, Canada
205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada
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TCM Dr. in British Columbia, Canada 205 Burnside Road East, Victoria, B.C. V9A 1A4 Canada |
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Chinese Medicine Blood and Liquid Disorders This
disorders may be caused by EPF invading and organs functions disorders and
include liquid and blood metabolism or circulation disorders. 1.
Retention of Phlegm and Fluid (Dan-Yin Syndrome) It
is a pathological changes caused by excessive
water in a certain part of the body, which results from the disorder of body
transportation, transformation and
distribution. 1.1.
Etiologies and pathogenesis Invasion
by cold-dampness Improper
diet Deficiency
of Yang-qi 1.2.
Differentiation and treatments 1.2.1
Excess syndromes (1)
Retention in the intestines and stomach Clinical
manifestations: fullness and pain in the epigastria and abdomen, a splashing
sound in the stomach or intestines, a deep, taut and forceful pulse
Treatment
principle: eliminating retained fluid with purgatives Herb
formula: Gan Sui Ban Xie Tang or Ji Jiao Li Huang Wan (2)
Retention in the chest and hypochondria Clinical
manifestations: distending pain in chest and hypochondria, aggravated by cough,
movement of body and respiration, shortness of breath, palpitation, thin and
white tongue fur, deep and taut pulse. Treatment
principle: eliminating retained
fluid with purgatives Herb
formula: Shi Zao Tang (3)
Retention in the chest and lung Clinical
manifestations: cough, dyspnea, fullness in the chest, orthopnea in severe
cases, expectoration of profuse, white and frothy sputum, edema of the face and
eyelids following long-standing cough, white tongue fur, a deep, taut
pulse Treatment
principle: warming the lung and resolving phlegm Herb
formula: Xiao Qing Long Tang 1.2.2.
Deficiency syndromes (1) Spleen
yang deficiency Clinical
manifestations: distended and full sensation in the chest and hypochondria,
preference for warmth and pressure in the epigastric and abdominal region, a
splashing sound in the stomach, back cold, nausea and vomiting, tongue fur white
and slippery, a deep and weak pulse Treatment
principle: warming spleen to
eliminate retained fluid Herb
formula: Ling Gui Zhu Gan Tang (2) Kidney
yang deficiency Clinical
manifestations: body cold, shortness of breath, short breath, palpitation,
edema, tongue fur white and slippery, a deep and weak pulse
Treatment
principle: tonifying kidney to
eliminate retained fluid Herb
formula: Jin Gui Shen Qi Wan 2.
Sweating Syndrome (Han Syndrome) It is an
abnormal sweating, mainly includes spontaneous and night sweating. 2.1
Etiologies and pathogenesis Lung qi
deficiency Disharmony
of Ying and Wei qi Yin
deficiency Pathogenic
heat 2.2
Differentiations and treatments 2.2.1. Lung
qi deficiency Clinical
manifestations: spontaneous sweating, aversion wind, easily catching cold, pale
tongue with white fur, thin and weak pulse. Treatment
principle: tonifying qi to consolidate body surface Herb
formula: Yu Ping Feng San 2.2.2.
Disharmony of Ying and Wei qi Clinical
manifestations: sweating, aversion wind, general ache, alternate chills and
fever, slow pulse, thin fur Treatment
principle: regulating Ying and Wei qi Herb
formula: Gui Zhi Tang 2.2.3. Yin
deficiency Clinical
manifestations: night sweating, hot sensation in five middles, hot flush, red
tongue with thin yellow fur, thin and rapid pulse Treatment
principle: tonifying yin Herb
formula: Dang Gui Liu Huang Tang 2.2.4.
Pathogenic heat Clinical
manifestations: persistent perspiration with sticky or yellow-stained sweat, red
complexion, fever, yellow fur, rapid and big pulse
Treatment
principle: clearing up heat and resolving dampness
Herb
formula: Long Dan Xie Gan Tang 3. Blood Syndrome (Xue
Syndrome) It is a
hemorrhagic disease including hemoptysis, hematemesis, hemafecia, hematuria. 3.1
Etiologies and pathogenesis Pathogenic
factors invading Emotional
changes Diet
disorders Constitution
deficiency Chronic or
fabric diseases 3.2
Differentiations and Treatments 3.2.1. Nose
bleeding (1) Attack
of the lung by wind-heat Clinical
manifestations: nose bleeding, inching and dry of nose and throat, or fever and
other wind-heat symptoms Treatment
principle: dispersing heat, moistening the lung to check the bleeding Herb
formula: Sang Ju Yin (2) Attack
by liver-fire Clinical
manifestations: nose bleeding, headache, dizziness, irritating, red tongue and
taut pulse Treatment
principle: dispersing liver-heat, cooling the blood to check the bleeding Herb
formula: Long Dan Xie Gan Tang (3) Qi-blood
deficiency Clinical
manifestations: nose bleeding, accompanied with other bleeding, fatigue and pale
complexion, and other qi-blood symptoms Treatment
principle: tonifying qi and blood to check the bleeding Herb
formula: Gui Pi Tang 3.3.2. Gem
bleeding Stomach heat
(excess or deficiency) Clinical
manifestations: gem bleeding, bright red blood, red tongue with yellow fur,
rapid pulse; or often bleeding, the key broken, red tongue, thin and rapid pulse
Treatment
principle: dispersing stomach heat to check the bleeding Herb
formula: Yu Nu Jian 3.3.3.
Hemoptysis (1) Attack
of the lung by wind-heat Clinical
manifestations: cough with blood-tinged sputum, inching and dry of nose and
throat, or fever, red tongue with yellow fur, rapid pulse Treatment
principle: dispersing heat, moistening the lung to check the bleeding Herb
formula: Sang Xing Tang (2) Attack
by liver-fire Clinical
manifestations: cough, blood-tinged sputum or blood sputum,
hypochondria full pain, irritating, red tongue and taut pulse
Treatment
principle: dispersing liver-heat, cooling the blood to check the bleeding Herb
formula: Xie Bai San added Geode San (3) Yin
deficiency Clinical
manifestations: dry cough with little amount sputum tinged by blood, and other
yin deficiency symptoms Treatment
principle: tonifying yin and moistening
the lung to check the bleeding Herb
formula: Bai He Gu Jin Tang 3.3.4.
Hematemesis (1)
Accumulation of heat in the stomach Clinical
manifestations: distress and distention in the epigastrium and abdomen, vomiting
blood and food, foul breath, black stool, red tongue with yellow fur, rapid
pulse Treatment
principle: dispersing heat from stomach to check the bleeding Herb
formula: Xie Xin Tang added Shi Hui Tang (2) Qi
deficiency Clinical
manifestations: chronic vomiting blood, the amount often not too big,
distress and distention in the epigastrium and abdomen, black stool, pale
complexion, pale tongue with white fur, weak, deep and thin pulse
Treatment
principle: tonifying qi to check the bleeding Herb
formula: Gui Pi Tang 3.3.5.
Hemafecia (1)
Accumulation of heat-damp in intestine Clinical
manifestations: stool and bleeding with bright color, abdomen pain, foul breath,
red tongue with yellow fur, rapid pulse
Treatment
principle: dispersing heat from xiajiao to check the bleeding Herb
formula: Di Yu Wan or Huai Jiao Wan (2) Spleen
and stomach yang-qi deficiency Clinical
manifestations: stool and bleeding with dark color, abdomen pain, pale complexion, pale tongue with white fur,
thin, deep and weak pulse Treatment
principle: tonifying spleen to check the bleeding Herb
formula: Huang Tu Tang 3.3.6.
Hematuria (1)
Damp-heat in the lower jiao Clinical
manifestations: urine with bleeding and bright color, often painful and urgent
urination, low abdomen pain, red tongue with yellow fur, rapid pulse
Treatment
principle: dispersing heat from lower jiao to check the bleeding Herb
formula: Xiao Ji Yin Zi (2) Spleen
and kidney deficiency Clinical
manifestations: urine with bleeding and light color, often accompanied with
other bleeding, pale complexion, pale tongue with white fur, thin, deep and weak
pulse Treatment
principle: Tonifying qi to check the bleeding Herb
formula: Gui Pi Tang 4. Fever due to internal disorders It is fever
caused by deficiency qi and blood or imbalance of yin-yang. 4.1
Etiologies and pathogenesis Emotional
changes Blood stasis Middle jiao
qi deficiency Blood
deficiency Yin
deficiency 4.2
Differentiations and treatments 4.2.1 Liver
stagnate fire Clinical
manifestations: low fever or only the hot sensation, which directly related
emotions, wiry pulse Treatment
principle: soothing liver and clearing heat Herb
formula: Dan Zhi Xiao Yao San 4.2.2 Blood
stasis Clinical
manifestations: fever in afternoon or night often with fixed and shape pain in
the body or masses, purple tongue Treatment
principle: promoting blood circulation to remove blood stasis Herb
formula: Xu Fu Zhu Yu Tang 4.2.3 Qi
deficiency Clinical
manifestations: Low fever worse after exertions, pale face, tired, short breath,
pale tongue, and weak pulse Treatment
principle: tonifying qi Herb
formula: Bu Zhong Yi Qi Tang 4.2.4 Blood
deficiency Clinical
manifestations: Low fever, pale on the face, nails, lips, often dizziness,
palpitation, pale tongue, weak pulse Treatment:
tonifying blood and qi Herb
formula: Gui Pi Tang 4.2.5 Yin
deficiency Clinical
manifestations: chronic low fever in the afternoon or night, five middles hot
sensation, night sweating, emaciation, tired, red tongue with yellow dry
coating, rapid and thin pulse Treatment
principle: nourishing yin and clearing fire Herb formula: Qing Gu San 5. Xiao-Ke syndrome (TCM diabetics) It is
disease marked as polydipsia, polyphagia, polyuria, emaciation and sweet urine. 5.1
Etiologies and pathogenesis Overeating
greasy and sweat food Emotion
disorders Overworking and aging 5.2 Differentiations and treatments 5.2.1
Upper-xiao Diabetes Clinical
manifestations: thirst and polydipsia, as well as polyphagia, polyuria,
emaciation and sweet urine Treatment
principle: eliminating the retained heat in upper jiao
Herb
formula: Xiao Ke Fang 5.2.2
Middle-xiao Diabetes Clinical
manifestations: hungry and polyphagia, as well as polydipsia,
polyuria, emaciation and sweet urine Treatment
principle: eliminating the retained fire in the middle jiao Herb
formula: Yu Nu Jin 5.2.3
Lower-xiao Diabetes Clinical
manifestations: thirst and polydipsia, as well as polyphagia, polyuria,
emaciation and sweet urine Treatment
principle: tonifying kidney yin and
eliminate the heat Herb formula:
Liu Wei Di Huang Wan Copyright by Kai Chen Ph.D. in Chinese Medicine |